非心源性胸痛患者心理异常与症状间的关系

Correlation between psychological disorder and symptom in the patients with noncardiac chest pain

目的调查非心源性胸痛(NCCP)患者的心理精神因素异常状况,探讨它们与症状程度间的关系。方法对87例NCCP患者和健康对照组90人进行问卷调查,内容包括Zung焦虑自评量表(SAS)、Zung抑郁自评量表(SDS)、症状评分表,进行分析比较。结果1、NCCP患者焦虑、抑郁的发生率明显高于健康对照组(P<0.005),平均焦虑、抑郁程度高于对照组(P<0.001)。2、NCCP患者的症状积分与焦虑评分、抑郁评分呈正相关(P<0.001)。结论焦虑和抑郁在NCCP发病机制中具有重要地位。

Objectives To investigate psychological abnormalities in patients with noneardiae chest pain （NCCP）, and to explore their relationship with symptoms. Methods A questionnaire study of 87 NCCP patients and 90 healthy volunteers by Zung Self-Rating Anxiety Scale （SAS）, Zung Self-rating Depression Scale （SDS）, and the Symptom Scale. All the scales were analysed in comparisons of each other . Results 1. The incidence of anxiety and depression in patients with NCCP was higher than that in healthy volunteers; the average extent of anxiety and depression of NCCP patients was significantly higher than that of healthy people （P 〈 0. 001 ）. 2. There was positive correlation among the symptom iterated integral, anxiety evaluation and depression evaluation of the NCCP patients （P 〈 0.00! ）. Conclusions Both of anxiety and depression play important roles in the pathogenesis of the NCCP patients.